| NPI | 1124337993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 763602) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 297187-1) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2025-09-15 |